Individual
LISA HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11091 KILKERRAN CT, LAS VEGAS, NV 89141-4356
(702) 381-1839
Mailing address
8432 STONEY BLUFF AVE, LAS VEGAS, NV 89129-2173
(702) 859-8365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3382
NV
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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